Active NPI
Moshe Morris Rozdzial, LPC
- Professional Counselor
- Denver, CO
National Provider Identifier
1356495840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3569
- Practice address
- 3500 E 17TH Ave
#3
Denver, CO 80206-1813 - Phone
- (303) 399-2314
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3569 | CO | Primary |
Addresses
Primary practice location
3500 E 17TH Ave
#3
Denver, CO 80206-1813
Mailing address
543 W Sycamore Cir
Louisville, CO 80027-2261
Phone (303) 666-7043
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3569 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356495840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "543 W SYCAMORE CIR",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800272261",
"telephone_number": "303-666-7043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 E 17TH AVE",
"address_2": "#3",
"city": "DENVER",
"state": "CO",
"postal_code": "802061813",
"telephone_number": "303-399-2314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROZDZIAL",
"first_name": "MOSHE",
"middle_name": "MORRIS",
"name_prefix": "Dr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "3569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.